Entity Details

Community Memorial AL ( ALP )

Basic

Entity Type:
Assisted Living Programs (ALP)

Former Entity Name:
Community Memorial Al

Medicaid #:

CCN #:

Occupancy Type:
Units

Max Occupancy:
32

Status:
Active

Close Date:

Accredited:
No Record Found

Accredited/Deemed:
No Record Found

License & Survey

License #:
S0150

Initial License Date:
07/19/2002

Current License Date:
07/19/2022

Renewal Cycle:
730

Entity Type Renewal Cycle(months):
24

Expiration Date:
07/18/2024

Months Since Last Survey:
16

Entity Type Survey Cycle(months):
24

Special Focus Facility:
No

Loss of NA Training Effective:

Loss of NA Training Expires:

Contact

Address:
233 North 8th Avenue West

City:
Hartley

State:
Iowa

Zip:
51346-1077

Phone:
(712) 728-2524

Fax:
(712) 728-2429

URL:

Administrator/License #:
Kay Wynja /

Administrator Email:
cmal@tcaexpress.net

Files

Life Safety Code (LSC) Waiver:

No Files Found

Licensure Rule Variance:

No Files Found